ANTHONY PROVAZZA

EXETER, NH
NPI1790853547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NH  465)
Enumeration Date2006-12-01
Last Update Date2007-07-18
Business Address
ANTHONY PROVAZZA LICSW
24 FRONT ST
EXETER, NH 03833-2727
Phone number: 603-866-6269
Mailing Address
ANTHONY PROVAZZA LICSW
24 FRONT ST
EXETER, NH 03833-2727
Phone number: 603-866-6269